Physician

How patient comments will affect your physician practice

Originally published in HCPLive.com

by Owen Dahl and Altamash Rahman

“Her MA is very rude, uncompassionate. Dr. ABCD doesn’t return phone calls. They’re not helpful and not good with following up with the care plan for patients. We’re new seeing this doctor, but will never go back. I would not recommend this practice at all!!!!!!”

How would you handle a comment like this when …

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How hospitals can lose money by relying on hospitalists

Are hospitals victims of hospitalists’ success?

Interesting observation from cardiologist Dr. Wes, writing in Better Health. He notes that hospitalist services are so busy that they are limited in the number of patients they see. That’s similar to the caps many medicine programs have on their residents.

Who, then, takes care of the patient?

It won’t be the primary care doctor, who has divorced himself from inpatient care (besides, as a …

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Some hospitals tube feed patients with advanced dementia

Originally published in MedPage Today

by John Gever, MedPage Today Senior Editor

Tube-feeding patients with advanced dementia — a practice whose effectiveness has been questioned by two widely cited literature reviews — is most common in larger hospitals and those run for profit, researchers said.

The odds of a feeding-tube insertion in a hospitalized patient with advanced dementia were about 50% greater …

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Laparoscopic procedures injure the surgeons that perform them

Originally published in MedPage Today

by John Gever, MedPage Today Senior Editor

Four out of five surgeons agree: Laparoscopic procedures cause substantial discomfort and pain for the surgeons who perform them.

More than 80% of surgeons completing an online questionnaire reported pain or stiffness in the hands, neck, back, or legs after performing minimally invasive surgeries, according to Adrian Park, MD, of the …

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Residency programs do not prepare doctors for the real world

According to a recent editorial from Emergency Medicine News, emergency residency programs are doing a poor job preparing their emergency residents for the real world.

The authors note that a typical, large urban academic emergency department comprise less than 5 percent of U.S. ERs, and that “residency programs train physicians in some of the most inefficient EDs in the land. Relative value units of emergency medicine work per hour in …

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Poll: Should doctors be forced to treat patients promptly?

New regulations to reduce wait times for medical care in California are due to take effect next year.

Under the proposal, primary care doctors employed by HMOs are required to see patients within 10 days of the appointment request, and specialists must see patients within 15 days. Telephone calls must be returned within 30 minutes and patients needing urgent care have to be seen within 48 hours.

But will these mandates actually …

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Do part time doctors worsen the primary care shortage?

More graduating doctors are making family and personal life a priority, and opting for part-time work.

But when primary care doctors are needed more than ever, is that contributing to the shortage?

That’s a question that Dr. Gwenn asks over at Better Health. In pediatrics specifically, more “are now opting for part time work right out of the gate, just after training or during, in their 30s. And, that more men …

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Pending lab tests are not in hospitalist discharge summaries

As hospitalist programs become more prevalent, the issue of how best to communicate discharge summaries and instructions to primary care physicians remains.

A recent study suggested that only 16% of pending lab tests were written in hospitalist discharge summaries, which is a staggeringly low number.

Doctors who see hospitalized patients in follow-up need to know what they’re looking for; whether it’s abnormal potassium level or the result of an imaging study …

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